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A Harris Poll survey conducted online in March 2017 on behalf of the American Osteopathic Association asked over 1,000 U.S. parents whether they allow or plan to allow their children to play sports given the risk of concussion—51 percent said yes, while 33 percent said it depends on the sport.

The remaining 16 percent of parents ruled out sports for their kids because of concussion risks.

Initial concussion symptoms include dizziness, headaches, and fatigue. In the long-term, concussions may cause negative emotional and cognitive changes.

The survey found 60 percent of parents who have allowed or plan to allow their child to play sports believe that the benefits —such as teamwork, self-esteem and fostering physical health—outweigh the risks of concussion. In that same group, 49 percent say there is protective equipment available to wear while participating in sports to prevent concussions. Parents whose decisions are dependent on the specific sport were also asked which sports they would allow their children to play.

Dave Baron, DO, MSEd, director of Global Center for Exercise, Psychiatry and Sport at the University of Southern California, offers advice for parents on the fence.

“The key is not avoiding sports altogether but getting involved with programs that take safety very seriously, have well-trained coaches and provide properly fitting safety gear, like helmets,” said Dr. Baron, an osteopathic psychiatrist. “There are socio-emotional aspects to sports and I encourage parents to consider all the risks and benefits, rather than focusing on a single risk.”

He also encourages parents to seek out programs that take precautions, like limiting full-contact practices, and teach good sportsmanship to minimize on-field aggression.

You don’t need to get knocked out or lose consciousness to have a concussion—nor do you need to get hit in the head.

Depending on the severity, concussion symptoms can last from a week to a couple months or even a year. Players should avoid risking another concussion before the first is fully healed because concurring injuries can have lasting effects.

High-intensity collision sports, like football and boxing, carry the same risks for kids and adolescents as they do for adult athletes.

Joelle Rehberg, DO, FAOASM, is medical director of the athletic training education program at William Paterson University, and works with youth concussions at Atlantic Neurosurgical Specialists in Morristown, New Jersey. An osteopathic sports medicine physician, Dr. Rehberg notes that while awareness of concussions has grown dramatically, parents, coaches, and even some doctors are not as educated about how to identify and treat them. As a result, concussion is often misdiagnosed in children.

“People don’t realize that how your brain responds to a hit can be greatly determined by several factors outside that particular impact. Having the proper amount of nutrition, hydration and rest can make the difference between a kid not being affected by a hit and able to play on, or sitting on the field, feeling dazed,” she explained.

While Dr. Rehberg encourages parents to allow children to play sports, she also advises balance for student athletes.

“Kids are in a critical period for physical, emotional and cognitive development. They need time to recover between games and practices, as well as time for family and academics. If they were allowed that, I think we’d see them become more resilient to the hazards of sports and we would see fewer injuries in general.”

If concussion is suspected, Dr. Rehberg says parents and coaches should have the athlete evaluated and monitored. Symptoms must completely subside before resuming full practice and competition. A few days of inactivity can be all that’s needed to resolve symptoms, she explained.

“Let them eat, drink and rest. Keep the house quiet and the lights dim,” Dr. Rehberg advises. “Once they seem back to normal, give them another 24 to 48 hours before resuming more of their normal day-to-day activities. There’s no need to rush back.”

(Editor’s Note: Below is excerpt from the April Issue of Concussion Litigation Reporter. For more, please subscribe to the newsletter.)

A federal judge from the Northern District of Minnesota denied the National Hockey League’s motion to dismiss a concussion injury lawsuit brought against the league by six former league players.

The plaintiffs, who seek to represent a class of living and deceased former NHL players who suffered concussions or repeated sub-concussive injuries while playing in the NHL, are Dan LaCouture, Michael Peluso, Gary Leeman, Bernie Nicholls, David Christian, and Reed Larson.

In filing their claim last year, the plaintiffs alleged that the NHL was responsible for “the pathological and debilitating effects of brain injuries caused by concussive and sub-concussive impacts sustained . . . during their professional careers.”